Evaluation of Pelvic Pain by Clinical Examination, Ultrasonography and Diagnostic Laparoscopy

Objective(s): To evaluate the various causes of pelvic pain and to find out the correlation of clinical examination, ultrasonography and diagnostic laparoscopy in diagnosis of pelvic pain. 

Method(s): This prospective study was carried out in 100 women attending gynaecology outdoor with complaints of pelvic pain. They were examined clinically and then subjected to ultrasonography and laparoscopy.   

Result(s): Out of 100 patients, 57% of patients shows no abnormal findings on clinical examination which on laparoscopy and ultrasonography was found to have various kinds of pathological lesions. On laparoscopy 31 patients had no abnormal findings, 17 had adhesions, 11 had hydrosalpinx, 4 had pelvic inflammatory disease, 10 had ovarian cyst, 9 had unilateral tubo-ovarian mass, 3 had bilateral tubo-ovarian mass, 3 had ectopic pregnancy and 3 had mullerian agenesis. 

Conclusion(s): Diagnostic laparoscopy is a more sensitive and effacious method for evaluation of pelvic pain.